Organization
CHANGES FOR LIFE INC
Active
Organization
CHANGES FOR LIFE INC
Active
Other names
GEM Fitness
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA CORDOVA (OWNER/PRESIDENT)
(631) 312-3350
Entity
Organization
Contact information
Practice address
4580 SUNRISE HWY UNIT 3, OAKDALE, NY 11769-1000
(631) 312-3350
Mailing address
4580 SUNRISE HWY UNIT 3, OAKDALE, NY 11769-1000
(631) 312-3350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
—
—
171100000X
Acupuncturist
—
—
224Y00000X
Clinical Exercise Physiologist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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